| NPI | 1992048102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 014467) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26014305A) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-04-05 |